# TERESA KAY DECKARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235218454
- **Gender:** F
- **Credential:** OTR L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT347 | OK | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 03/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100639930A | — | OK |